Surgical Approaches in Sialolithiasis Cases and Clinical Studies

Yıl 2024, Cilt: 13 Sayı: 2, 388 - 394, 20.05.2024

Ahmet Berkant Özen Alperen Kırkpunar İnci Rana Karaca

https://doi.org/10.54617/adoklinikbilimler.1379003

Öz

Sialolithiasis, characterized by the formation of stones in the salivary gland or ducts, is one of the most common obstructive disorders in the gland. It is formed by the precipitation of nidus rich in organic content in the center and calcium-rich minerals around it. Salivary gland obstruction can significantly affect the quality of life of patients and may lead to abscess or cellulitis if not treated. Their localization and size can be determined by various radiographs. In the beginning, conservative approaches should be used for accessible and small sialoliths, antibiotic support may also be required. Advanced surgical techniques should be considered for inaccessible or larger sialoliths that do not respond to treatment. The localization, dimensions and additional symptoms of sialoliths shape the surgical treatment management. A trend towards minimally invasive approach is observed as the current approach in surgical technique selection.

Anahtar Kelimeler

Obstructive sialadenitis, Salivary stone, Sialadenectomy

Siyalolitiyazis Vakalarında Cerrahi Yaklaşımlar ve Klinik Çalışmalar

Öz

Tükürük bezi ya da kanallarında taş olumu ile karakterize siyalolitiyazis, bezde en sık görülen obstrüktif bozukluklardandır. Merkezinde organik içerikten zengin nidus ve etrafında ise kalsiyumdan zengin minerallerin çökelmesiyle oluşur. Tükürük bezi tıkanıklığı, hastaların yaşam kalitesini önemli ölçüde etkileyebilir ve tedavi edilmediğinde apse ya da selülit oluşumuna neden olabilir. Çeşitli radyografilerle lokalizasyonları ve boyutları tespit edilebilmektedir. Başlangıçta erişilebilir ve küçük siyalolitler için konservatif yaklaşımlarla tedavi yoluna gidilmelidir, antibiyotik desteği de gerekebilmektedir. Tedaviye cevap vermeyen, erişilemeyen ya da daha büyük siyalolitler için ileri cerrahi teknikler düşünülmelidir. Siyalolitlerin lokalizasyonu, boyutları ve bunlara ilave semptomlar cerrahi tedavi yönetimini şekillendirmektedir. Cerrahi teknik seçiminde güncel yaklaşım olarak minimal invaziv yaklaşıma yönelim gözlenmektedir.

Anahtar Kelimeler

Obstrüktif siyaladenit, Siyaladenektomi, Tükürük taşı

Kaynakça

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